Active NPI
Dilafruz Khakimova
- Pharmacist
- Seattle, WA
National Provider Identifier
1902388762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60853773
- Practice address
- 2100 N 45TH St
Seattle, WA 98103-6902 - Phone
- (206) 633-1536
- NPI assigned
- Aug 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60853773 | WA | Primary |
Addresses
Primary practice location
2100 N 45TH St
Seattle, WA 98103-6902
Mailing address
2035 4TH Ave
Seattle, WA 98121-2414
Phone (206) 448-2002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60853773 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington CVS Pharmacy LLC | Past | Accepting new patients | |
| Washington CVS Pharmacy LLC | Past | Accepting new patients | |
| Washington CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- NPI 1194834408
-
- Pharmacy
- Bellevue, WA
- NPI 1750751590
-
- Pharmacy
- Seattle, WA
- NPI 1891173985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611532800000",
"number": "1902388762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2035 4TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981212414",
"telephone_number": "206-448-2002",
"fax_number": "206-973-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 N 45TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981036902",
"telephone_number": "206-633-1536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAKIMOVA",
"first_name": "DILAFRUZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-29",
"last_updated": "2021-01-25",
"certification_date": "2021-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60853773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.